Jaimie Mong

NPI #1144692484 in Greenville, Pennsylvania

Provider Information

NPI Number: 1144692484
Entity Type: Individual
Name: Jaimie Mong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 27, 2015
Last Updated: Oct 27, 2015

Practice Location

Address: 206 MAIN ST
City: Greenville
State: Pennsylvania
ZIP Code: 16125-2139
Phone: (724) 588-8910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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